Price Transparencybeta Hospital negotiated rates

Hospital facility prices. What the hospital charges for the facility side of care — the surgeon’s and anesthesiologist’s fees are billed separately and are not included. How we scope prices →

Export CSV
Hospital

ST LUKE'S REGIONAL MEDICAL CENTER

Boise, ID · CCN 130006 · Rates published

Your selected procedure

You selected 27447 (CPT)

Replacement of knee joint, both sides of knee|BILATERAL PROCEDURE|NON-EXCEPTED SERVICE PROVIDED AT AN OFF-CAMPUS PBB DEP

This hospital’s price: $25,422 across 24 payers · range $15,889-$37,642

Source: https://assets.slhs.org/download/assets/820161600_St-Lukes-Regional-Medical-Center-LTD_standardcharges.csv/58d75b022a1e11f1b53a0a82e5b91713 · observed 2026-07-15

This is the facility’s filed rate for this code. The comparison board’s estimate also adds the surgeon and anesthesia fees, so it is usually higher.

8,178 distinct procedures filed
30 distinct payers
1,202,987 rate rows
2026-07-15 last MRF observed
Data quality

1,189,285 of 1,202,987 rate rows are consumer-grade (98.9%)

13,702 rows are marked excluded from the consumer medians — these stay visible in the raw drill-down with the same reason shown here, so nothing is silently hidden.

Excluded — reasonRows
percent-of-billed methodology on a DRG bundle — not comparable to case rates; shown as context only 5,541
placeholder amount (≤ $0.02) — excluded from medians 4,285
no usable negotiated amount (only an out-of-band fallback) — excluded from medians 2,153
exceeds 10× this hospital's gross charge — excluded from medians 599
percent-of-charges filed in the dollar field — excluded from medians 480
below 25% of the Medicare reference for this code — likely a mislabeled per-diem or placeholder; excluded from medians 437
per-diem day rate — not a per-procedure price 182
exceeds 3× this hospital's gross charge for a DRG stay — excluded 25
Data source & audit trail ↓ Download audit trail (JSON)
Source MRF file https://stlukesonline.file.core.windows.net/stlukesonline-files/820161600-1770586794_St-Lukes-Regional-Medical-Center-LTD_standardcharges.csv?sv=2022-11-02&ss=f&srt=o&sp=rl&se=2026-07-12T19:20:00Z&st=2024-07-12T19:20:00Z&sip=0.0.0.0-255.255.255.255&spr=https&sig=FGacPqS12iM%2B02qiSmRIfavnfLx8l7R64K%2B5yDAzofo%3D
Found on page https://stlukesonline.org/en/patients-visitors/billing-and-insurance/price-estimates/price-transparency/
Discovered viaDiscovered by HANK
Last fetch Latest re-check couldn't be parsed — showing last good data · 2026-08-01

Top 50 most expensive offerings

Outliers are flagged where this hospital's filed rate is ≥2× or ≤0.5× the national median for the same code.

Code Description Payers Min $ Max $ Avg median vs national
Q2054
HCPCS 		Lisocabtagene Maraleucel 1.5 X 10exp6 To 70 X 10exp6 Cell/ml IV Susp 30 $531,350.40 $1,079,678.28 $779,690.29 nat. median
$624,417
1.2× median
Q2041
HCPCS 		Axicabtagene Ciloleucel Intravenous Suspension 30 $532,192.24 $1,062,228.60 $767,087.75 nat. median
$588,565
1.3× median
1
MS_DRG 		Heart Transplant Or Implant Of Heart Assist System With Mcc 21 $226,945.39 $844,977.14 $535,961.27 nat. median
$261,939
outlier · 2.0×
3
MS_DRG 		Ecmo Or Tracheostomy With Mv >96 Hours Or Principal Diagnosis Except Face, Mouth… 21 $172,183.00 $481,804.25 $253,964.46 nat. median
$199,832
1.3× median
426
MS_DRG 		Multiple Level Combined Anterior And Posterior Spinal Fusion Except Cervical Wit… 21 $89,991.47 $320,075.85 $205,033.66 nat. median
$96,835
outlier · 2.1×
212
MS_DRG 		Concomitant Aortic And Mitral Valve Procedures 21 $88,806.62 $248,488.80 $168,647.71 nat. median
$100,978
1.7× median
4
MS_DRG 		Tracheostomy With Mv >96 Hours Or Principal Diagnosis Except Face, Mouth And Nec… 21 $112,788.27 $353,391.30 $167,440.50 nat. median
$132,706
1.3× median
429
MS_DRG 		Combined Anterior And Posterior Cervical Spinal Fusion With Mcc 21 $73,788.38 $254,847.03 $164,317.70 nat. median
$81,124
outlier · 2.0×
456
MS_DRG 		Spinal Fusion Except Cervical With Spinal Curvature, Malignancy, Infection Or Ex… 21 $68,905.53 $259,130.84 $164,018.18 nat. median
$80,459
outlier · 2.0×
16
MS_DRG 		Autologous Bone Marrow Transplant With Cc/mcc 21 $48,980.29 $247,165.51 $148,072.90 nat. median
$55,867
outlier · 2.7×
209
MS_DRG 		Complex Aortic Arch Procedures 21 $92,388.59 $258,512.37 $134,127.78 nat. median
$96,134
1.4× median
38240
CPT 		Transplantation Of Donor Stem Cells Per Donor 30 $67,918.83 $165,570.42 $132,363.60 nat. median
$13,835
outlier · 9.6×
219
MS_DRG 		Cardiac Valve And Other Major Cardiothoracic Procedures Without Cardiac Catheter… 21 $63,064.97 $193,568.98 $128,316.98 nat. median
$74,472
1.7× median
215
MS_DRG 		Other Heart Assist System Implant 21 $81,419.52 $452,974.82 $125,548.38 nat. median
$98,002
1.3× median
J7330
HCPCS 		Autol Chondrocyte-collag,porc 500,000 Cell/cm2 (3 X 5 Cm)implant Sheet 20 $43,088.81 $135,020.52 $120,007.84 nat. median
$75,807
1.6× median
820
MS_DRG 		Lymphoma And Leukemia With Major O.r. Procedures With Mcc 21 $48,457.53 $184,747.75 $116,602.64 nat. median
$56,397
outlier · 2.1×
A9513
HCPCS 		Lutetium Lu 177 Dotatate 10 Mci/ml (370 Mbq/ml) Intravenous Solution 30 $320.77 $150,725.40 $115,316.32 nat. median
$470
outlier · 245.5×
969
MS_DRG 		HIV With Extensive O.r. Procedures With Mcc 21 $50,523.59 $178,248.70 $114,386.15 nat. median
$60,294
1.9× median
216
MS_DRG 		Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza… 21 $80,016.37 $241,374.01 $114,365.54 nat. median
$92,900
1.2× median
955
MS_DRG 		Craniotomy For Multiple Significant Trauma 21 $55,435.43 $164,902.28 $110,168.85 nat. median
$64,357
1.7× median
850
MS_DRG 		Acute Leukemia With Other Procedures 21 $70,968.38 $281,469.60 $109,161.02 nat. median
$81,364
1.3× median
232
MS_DRG 		Coronary Bypass With Ptca Without Mcc 21 $50,050.77 $166,610.30 $108,330.54 nat. median
$59,257
1.8× median
430
MS_DRG 		Combined Anterior And Posterior Cervical Spinal Fusion Without Mcc 21 $47,670.59 $167,151.13 $107,410.86 nat. median
$53,268
outlier · 2.0×
428
MS_DRG 		Multiple Level Combined Anterior And Posterior Spinal Fusion Except Cervical Wit… 21 $46,501.82 $168,177.78 $107,339.80 nat. median
$53,080
outlier · 2.0×
235
MS_DRG 		Coronary Bypass Without Cardiac Catheterization With Mcc 21 $48,488.14 $164,984.78 $106,736.46 nat. median
$57,082
1.9× median
218
MS_DRG 		Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza… 21 $54,180.49 $158,907.39 $106,543.94 nat. median
$60,895
1.7× median
231
MS_DRG 		Coronary Bypass With Ptca With Mcc 21 $69,118.98 $216,497.45 $100,415.72 nat. median
$79,040
1.3× median
458
MS_DRG 		Spinal Fusion Except Cervical With Spinal Curvature, Malignancy, Infection Or Ex… 21 $34,827.14 $158,354.34 $96,590.74 nat. median
$42,100
outlier · 2.3×
20
MS_DRG 		Intracranial Vascular Procedures With Principal Diagnosis Hemorrhage With Mcc 21 $64,599.42 $280,497.96 $95,524.04 nat. median
$77,385
1.2× median
220
MS_DRG 		Cardiac Valve And Other Major Cardiothoracic Procedures Without Cardiac Catheter… 21 $44,172.36 $201,239.38 $94,860.55 nat. median
$52,372
1.8× median
233
MS_DRG 		Coronary Bypass With Cardiac Catheterization Or Open Ablation With Mcc 21 $62,798.35 $197,363.91 $92,624.34 nat. median
$73,475
1.3× median
234
MS_DRG 		Coronary Bypass With Cardiac Catheterization Or Open Ablation Without Mcc 21 $45,218.70 $145,852.68 $91,880.59 nat. median
$53,013
1.7× median
957
MS_DRG 		Other O.r. Procedures For Multiple Significant Trauma With Mcc 21 $62,594.57 $176,445.96 $88,450.77 nat. median
$71,485
1.2× median
326
MS_DRG 		Stomach, Esophageal And Duodenal Procedures With Mcc 19 $40,459.16 $133,235.08 $87,445.16 nat. median
$48,124
1.8× median
427
MS_DRG 		Multiple Level Combined Anterior And Posterior Spinal Fusion Except Cervical Wit… 21 $59,362.17 $217,023.00 $84,167.00 nat. median
$66,640
1.3× median
275
MS_DRG 		Cardiac Defibrillator Implant With Cardiac Catheterization And Mcc 21 $58,651.73 $214,978.87 $83,743.95 nat. median
$68,581
1.2× median
J1823
HCPCS 		Inebilizumab-cdon 10 Mg/ml Intravenous Solution 30 $495.55 $123,379.20 $83,062.64 nat. median
$818
outlier · 101.6×
207
MS_DRG 		Respiratory System Diagnosis With Ventilator Support >96 Hours 21 $56,890.94 $175,981.52 $82,434.53 nat. median
$62,218
1.3× median
870
MS_DRG 		Septicemia Or Severe Sepsis With Mv >96 Hours 21 $56,890.94 $175,981.52 $82,434.53 nat. median
$65,958
1.2× median
64568
CPT 		Insertion Of Cranial Nerve Neurostimulator Electrode And Generator 30 $39,162.42 $113,400.90 $81,900.65 nat. median
$27,651
outlier · 3.0×
33276
CPT 		Hc Insertion Phrenic Nerve Stimulator System 30 $47,560.13 $114,301.00 $81,900.65 nat. median
$43,061
1.9× median
319
MS_DRG 		Other Endovascular Cardiac Valve Procedures With Mcc 21 $37,165.47 $125,296.89 $81,231.18 nat. median
$43,221
1.9× median
471
MS_DRG 		Cervical Spinal Fusion With Mcc 21 $40,111.93 $121,481.07 $80,796.50 nat. median
$46,518
1.7× median
448
MS_DRG 		Multiple Level Spinal Fusion Except Cervical Without Mcc 21 $35,376.48 $172,836.86 $80,073.91 nat. median
$40,579
2.0× median
447
MS_DRG 		Multiple Level Spinal Fusion Except Cervical With Mcc Or Custom-made Anatomicall… 21 $55,036.72 $204,862.11 $79,450.70 nat. median
$62,262
1.3× median
928
MS_DRG 		Full Thickness Burn With Skin Graft Or Inhalation Injury With Cc/mcc 21 $58,992.45 $107,861.83 $79,144.97 nat. median
$62,911
1.3× median
268
MS_DRG 		Aortic And Heart Assist Procedures Except Pulsation Balloon With Mcc 21 $56,617.89 $199,469.15 $79,011.06 nat. median
$65,792
1.2× median
265
MS_DRG 		Aicd Lead Procedures 15 $30,553.82 $89,215.67 $77,408.24 nat. median
$34,974
outlier · 2.2×
576
MS_DRG 		Skin Graft Except For Skin Ulcer Or Cellulitis With Mcc 21 $40,695.91 $113,858.65 $77,277.28 nat. median
$48,311
1.6× median
628
MS_DRG 		Other Endocrine, Nutritional And Metabolic O.r. Procedures With Mcc 16 $31,434.35 $103,749.50 $76,606.81 nat. median
$36,547
outlier · 2.1×

Other procedures at this hospital

Browse this hospital's 8,178 published procedures. Use the slice to choose what to show, then sort or filter any column.

Slice
Sortable, filterable data table. Use the column headers to sort, the filter row to narrow results.
Code Type Description Rate rows Payers Gross Cash Min $ Max $ Avg median Last observed
             
Q2054 HCPCS Lisocabtagene Maraleucel 1.5 X 10exp6 To 70 X 10exp6 Cell/ml IV Susp 158 30 $1,199,583.03 $1,199,583.03 $531,350.40 $1,079,678.28 $779,690.29 2026-07-15
Q2041 HCPCS Axicabtagene Ciloleucel Intravenous Suspension 158 30 $1,180,194.50 $1,180,194.50 $532,192.24 $1,062,228.60 $767,087.75 2026-07-15
1 MS_DRG Heart Transplant Or Implant Of Heart Assist System With Mcc 37 21 $453,029.80 $453,029.80 $226,945.39 $844,977.14 $535,961.27 2026-07-15
3 MS_DRG Ecmo Or Tracheostomy With Mv >96 Hours Or Principal Diagnosis Except Face, Mouth… 37 21 $967,670.54 $967,670.54 $172,183.00 $481,804.25 $253,964.46 2026-07-15
426 MS_DRG Multiple Level Combined Anterior And Posterior Spinal Fusion Except Cervical Wit… 37 21 $575,810.19 $575,810.19 $89,991.47 $320,075.85 $205,033.66 2026-07-15
212 MS_DRG Concomitant Aortic And Mitral Valve Procedures 37 21 $933,591.71 $933,591.71 $88,806.62 $248,488.80 $168,647.71 2026-07-15
4 MS_DRG Tracheostomy With Mv >96 Hours Or Principal Diagnosis Except Face, Mouth And Nec… 37 21 $609,375.73 $609,375.73 $112,788.27 $353,391.30 $167,440.50 2026-07-15
429 MS_DRG Combined Anterior And Posterior Cervical Spinal Fusion With Mcc 37 21 $571,844.81 $571,844.81 $73,788.38 $254,847.03 $164,317.70 2026-07-15
456 MS_DRG Spinal Fusion Except Cervical With Spinal Curvature, Malignancy, Infection Or Ex… 37 21 $502,714.70 $502,714.70 $68,905.53 $259,130.84 $164,018.18 2026-07-15
16 MS_DRG Autologous Bone Marrow Transplant With Cc/mcc 37 21 $334,575.95 $334,575.95 $48,980.29 $247,165.51 $148,072.90 2026-07-15
209 MS_DRG Complex Aortic Arch Procedures 37 21 $454,772.14 $454,772.14 $92,388.59 $258,512.37 $134,127.78 2026-07-15
38240 CPT Transplantation Of Donor Stem Cells Per Donor 68 30 $165,599.00 $165,599.00 $67,918.83 $165,570.42 $132,363.60 2026-07-15
219 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures Without Cardiac Catheter… 37 21 $396,932.84 $396,932.84 $63,064.97 $193,568.98 $128,316.98 2026-07-15
215 MS_DRG Other Heart Assist System Implant 37 21 $380,290.23 $380,290.23 $81,419.52 $452,974.82 $125,548.38 2026-07-15
J7330 HCPCS Autol Chondrocyte-collag,porc 500,000 Cell/cm2 (3 X 5 Cm)implant Sheet 92 20 $150,016.30 $150,016.30 $43,088.81 $135,020.52 $120,007.84 2026-07-15
820 MS_DRG Lymphoma And Leukemia With Major O.r. Procedures With Mcc 37 21 $281,480.42 $281,480.42 $48,457.53 $184,747.75 $116,602.64 2026-07-15
A9513 HCPCS Lutetium Lu 177 Dotatate 10 Mci/ml (370 Mbq/ml) Intravenous Solution 126 30 $144,176.90 $144,176.90 $320.77 $150,725.40 $115,316.32 2026-07-15
969 MS_DRG HIV With Extensive O.r. Procedures With Mcc 37 21 $330,086.30 $330,086.30 $50,523.59 $178,248.70 $114,386.15 2026-07-15
216 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza… 37 21 $343,044.65 $343,044.65 $80,016.37 $241,374.01 $114,365.54 2026-07-15
955 MS_DRG Craniotomy For Multiple Significant Trauma 37 21 $392,903.82 $392,903.82 $55,435.43 $164,902.28 $110,168.85 2026-07-15
850 MS_DRG Acute Leukemia With Other Procedures 37 21 $201,227.62 $201,227.62 $70,968.38 $281,469.60 $109,161.02 2026-07-15
232 MS_DRG Coronary Bypass With Ptca Without Mcc 37 21 $392,419.42 $392,419.42 $50,050.77 $166,610.30 $108,330.54 2026-07-15
430 MS_DRG Combined Anterior And Posterior Cervical Spinal Fusion Without Mcc 37 21 $305,110.38 $305,110.38 $47,670.59 $167,151.13 $107,410.86 2026-07-15
428 MS_DRG Multiple Level Combined Anterior And Posterior Spinal Fusion Except Cervical Wit… 37 21 $280,499.17 $280,499.17 $46,501.82 $168,177.78 $107,339.80 2026-07-15
235 MS_DRG Coronary Bypass Without Cardiac Catheterization With Mcc 37 21 $298,781.99 $298,781.99 $48,488.14 $164,984.78 $106,736.46 2026-07-15
218 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza… 37 21 $355,609.79 $355,609.79 $54,180.49 $158,907.39 $106,543.94 2026-07-15
231 MS_DRG Coronary Bypass With Ptca With Mcc 37 21 $362,969.73 $362,969.73 $69,118.98 $216,497.45 $100,415.72 2026-07-15
458 MS_DRG Spinal Fusion Except Cervical With Spinal Curvature, Malignancy, Infection Or Ex… 37 21 $231,533.20 $231,533.20 $34,827.14 $158,354.34 $96,590.74 2026-07-15
20 MS_DRG Intracranial Vascular Procedures With Principal Diagnosis Hemorrhage With Mcc 37 21 $231,174.46 $231,174.46 $64,599.42 $280,497.96 $95,524.04 2026-07-15
220 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures Without Cardiac Catheter… 37 21 $310,320.02 $310,320.02 $44,172.36 $201,239.38 $94,860.55 2026-07-15
233 MS_DRG Coronary Bypass With Cardiac Catheterization Or Open Ablation With Mcc 37 21 $368,825.11 $368,825.11 $62,798.35 $197,363.91 $92,624.34 2026-07-15
234 MS_DRG Coronary Bypass With Cardiac Catheterization Or Open Ablation Without Mcc 37 21 $321,918.97 $321,918.97 $45,218.70 $145,852.68 $91,880.59 2026-07-15
957 MS_DRG Other O.r. Procedures For Multiple Significant Trauma With Mcc 37 21 $332,096.48 $332,096.48 $62,594.57 $176,445.96 $88,450.77 2026-07-15
326 MS_DRG Stomach, Esophageal And Duodenal Procedures With Mcc 31 19 $212,135.47 $212,135.47 $40,459.16 $133,235.08 $87,445.16 2026-07-15
427 MS_DRG Multiple Level Combined Anterior And Posterior Spinal Fusion Except Cervical Wit… 37 21 $258,559.03 $258,559.03 $59,362.17 $217,023.00 $84,167.00 2026-07-15
275 MS_DRG Cardiac Defibrillator Implant With Cardiac Catheterization And Mcc 37 21 $221,036.35 $221,036.35 $58,651.73 $214,978.87 $83,743.95 2026-07-15
J1823 HCPCS Inebilizumab-cdon 10 Mg/ml Intravenous Solution 132 30 $103,834.80 $103,834.80 $495.55 $123,379.20 $83,062.64 2026-07-15
870 MS_DRG Septicemia Or Severe Sepsis With Mv >96 Hours 37 21 $320,867.92 $320,867.92 $56,890.94 $175,981.52 $82,434.53 2026-07-15
207 MS_DRG Respiratory System Diagnosis With Ventilator Support >96 Hours 37 21 $302,266.11 $302,266.11 $56,890.94 $175,981.52 $82,434.53 2026-07-15
64568 CPT Insertion Of Cranial Nerve Neurostimulator Electrode And Generator 81 30 $126,001.00 $126,001.00 $39,162.42 $113,400.90 $81,900.65 2026-07-15
33276 CPT Hc Insertion Phrenic Nerve Stimulator System 79 30 $126,001.00 $126,001.00 $47,560.13 $114,301.00 $81,900.65 2026-07-15
319 MS_DRG Other Endovascular Cardiac Valve Procedures With Mcc 37 21 $285,839.01 $285,839.01 $37,165.47 $125,296.89 $81,231.18 2026-07-15
471 MS_DRG Cervical Spinal Fusion With Mcc 37 21 $237,455.93 $237,455.93 $40,111.93 $121,481.07 $80,796.50 2026-07-15
448 MS_DRG Multiple Level Spinal Fusion Except Cervical Without Mcc 37 21 $254,690.88 $254,690.88 $35,376.48 $172,836.86 $80,073.91 2026-07-15
447 MS_DRG Multiple Level Spinal Fusion Except Cervical With Mcc Or Custom-made Anatomicall… 37 21 $249,714.57 $249,714.57 $55,036.72 $204,862.11 $79,450.70 2026-07-15
928 MS_DRG Full Thickness Burn With Skin Graft Or Inhalation Injury With Cc/mcc 31 21 $32,449.16 $32,449.16 $58,992.45 $107,861.83 $79,144.97 2026-07-15
268 MS_DRG Aortic And Heart Assist Procedures Except Pulsation Balloon With Mcc 37 21 $237,943.83 $237,943.83 $56,617.89 $199,469.15 $79,011.06 2026-07-15
265 MS_DRG Aicd Lead Procedures 27 15 $42,602.54 $42,602.54 $30,553.82 $89,215.67 $77,408.24 2026-07-15
576 MS_DRG Skin Graft Except For Skin Ulcer Or Cellulitis With Mcc 37 21 $565,987.19 $565,987.19 $40,695.91 $113,858.65 $77,277.28 2026-07-15
628 MS_DRG Other Endocrine, Nutritional And Metabolic O.r. Procedures With Mcc 28 16 $100,271.09 $100,271.09 $31,434.35 $103,749.50 $76,606.81 2026-07-15
402 MS_DRG Single Level Combined Anterior And Posterior Spinal Fusion Except Cervical 37 21 $190,555.34 $190,555.34 $3,890.25 $143,564.11 $76,569.64 2026-07-15
217 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza… 37 21 $280,974.98 $280,974.98 $54,180.49 $186,171.62 $76,526.12 2026-07-15
840 MS_DRG Lymphoma And Non-acute Leukemia With Mcc 37 21 $65,168.73 $65,168.73 $14,953.71 $124,441.35 $75,857.74 2026-07-15
25 MS_DRG Craniotomy And Endovascular Intracranial Procedures With Mcc 37 21 $216,760.11 $216,760.11 $37,840.45 $434,247.79 $74,846.34 2026-07-15
420 MS_DRG Hepatobiliary Diagnostic Procedures With Mcc 37 21 $212,555.76 $212,555.76 $28,661.18 $120,832.80 $74,746.99 2026-07-15
236 MS_DRG Coronary Bypass Without Cardiac Catheterization Without Mcc 37 21 $278,816.81 $278,816.81 $34,957.64 $176,876.66 $73,522.80 2026-07-15
276 MS_DRG Cardiac Defibrillator Implant With Mcc Or Carotid Sinus Neurostimulator 37 21 $149,935.95 $149,935.95 $49,599.71 $189,752.66 $73,403.64 2026-07-15
317 MS_DRG Concomitant Left Atrial Appendage Closure And Cardiac Ablation 37 21 $164,481.02 $164,481.02 $55,076.19 $189,025.45 $73,308.84 2026-07-15
791 MS_DRG Prematurity With Major Problems 37 21 $115,024.25 $115,024.25 $9,066.95 $165,200.00 $73,228.56 2026-07-15
573 MS_DRG Skin Graft For Skin Ulcer Or Cellulitis With Mcc 37 21 $138,175.71 $138,175.71 $53,987.98 $154,016.58 $72,974.67 2026-07-15
461 MS_DRG Bilateral Or Multiple Major Joint Procedures Of Lower Extremity With Mcc 37 21 $182,489.50 $182,489.50 $45,704.41 $154,439.03 $72,719.90 2026-07-15
28 MS_DRG Spinal Procedures With Mcc 37 21 $257,530.54 $257,530.54 $49,613.41 $152,048.30 $72,042.08 2026-07-15
266 MS_DRG Endovascular Cardiac Valve Replacement And Supplement Procedures With Mcc 37 21 $177,192.38 $177,192.38 $50,580.79 $254,180.93 $70,990.98 2026-07-15
J9226 HCPCS Hc Histerlin, Implant, 50 Mg 180 30 $107,890.49 $107,890.49 $39,141.66 $112,603.54 $69,096.54 2026-07-15
736 MS_DRG Uterine And Adnexa Procedures For Ovarian Or Adnexal Malignancy With Mcc 37 21 $198,901.70 $198,901.70 $30,009.54 $106,756.11 $68,382.82 2026-07-15
457 MS_DRG Spinal Fusion Except Cervical With Spinal Curvature, Malignancy, Infection Or Ex… 37 21 $270,465.29 $270,465.29 $49,249.33 $199,609.70 $68,011.89 2026-07-15
213 MS_DRG Endovascular Abdominal Aorta With Iliac Branch Procedures 37 21 $201,003.84 $201,003.84 $47,185.69 $123,839.73 $67,626.77 2026-07-15
23 MS_DRG Craniotomy With Major Device Implant Or Acute Complex Cns Principal Diagnosis Wi… 37 21 $193,968.44 $193,968.44 $47,374.17 $150,706.43 $67,605.44 2026-07-15
653 MS_DRG Major Bladder Procedures With Mcc 37 21 $231,211.90 $231,211.90 $43,073.68 $176,675.12 $66,059.01 2026-07-15
834 MS_DRG Acute Leukemia With Mcc 37 21 $207,521.88 $207,521.88 $45,437.78 $204,929.33 $65,498.51 2026-07-15
21 MS_DRG Intracranial Vascular Procedures With Principal Diagnosis Hemorrhage With Cc 37 21 $190,272.90 $190,272.90 $43,858.22 $209,860.91 $65,498.51 2026-07-15
J9266 HCPCS Pegaspargase 750 Unit/ml Injection Solution For Desensitization Only 11 9 $0.01 — $40,222.73 $68,887.89 $65,443.50 2026-07-15
656 MS_DRG Kidney And Ureter Procedures For Neoplasm With Mcc 37 21 $207,651.98 $207,651.98 $26,862.53 $102,560.91 $64,711.72 2026-07-15
405 MS_DRG Pancreas, Liver And Shunt Procedures With Mcc 37 21 $188,697.09 $188,697.09 $45,281.51 $146,599.83 $64,330.10 2026-07-15
279 MS_DRG Ultrasound Accelerated And Other Thrombolysis Of Peripheral Vascular Structures … 37 21 $165,575.26 $165,575.26 $30,266.50 $97,794.33 $64,030.42 2026-07-15
463 MS_DRG Wound Debridement And Skin Graft Except Hand For Musculoskeletal And Connective … 37 21 $147,855.68 $147,855.68 $47,126.07 $167,493.34 $64,001.85 2026-07-15
11 MS_DRG Tracheostomy For Face, Mouth And Neck Diagnoses Or Laryngectomy With Mcc 37 21 $161,529.06 $161,529.06 $45,149.42 $134,951.46 $63,941.42 2026-07-15
467 MS_DRG Revision Of Hip Or Knee Replacement With Cc 37 21 $182,497.51 $182,497.51 $29,623.72 $93,406.64 $61,515.18 2026-07-15
450 MS_DRG Single Level Spinal Fusion Except Cervical With Mcc Or Custom-made Anatomically … 37 21 $160,125.79 $160,125.79 $44,146.58 $157,361.31 $61,028.69 2026-07-15
270 MS_DRG Other Major Cardiovascular Procedures With Mcc 37 21 $162,120.80 $162,120.80 $43,717.26 $134,894.21 $60,826.05 2026-07-15
451 MS_DRG Single Level Spinal Fusion Except Cervical Without Mcc 37 21 $180,953.45 $180,953.45 $27,237.89 $98,371.08 $60,765.31 2026-07-15
C9293 HCPCS Glucarpidase 1,000 Unit Intravenous Solution 118 26 $92,978.95 $92,978.95 $448.69 $83,706.26 $60,454.52 2026-07-15
466 MS_DRG Revision Of Hip Or Knee Replacement With Mcc 37 21 $213,171.90 $213,171.90 $43,146.18 $137,518.89 $60,371.01 2026-07-15
411 MS_DRG Cholecystectomy With C.d.e. With Mcc 37 21 $168,670.04 $168,670.04 $27,825.07 $91,924.72 $59,874.89 2026-07-15
239 MS_DRG Amputation For Circulatory System Disorders Except Upper Limb And Toe With Mcc 37 21 $197,351.00 $197,351.00 $40,861.02 $145,857.35 $59,687.27 2026-07-15
837 MS_DRG Chemotherapy With Acute Leukemia As Secondary Diagnosis Or With High Dose Chemot… 37 21 $58,306.73 $58,306.73 $39,915.38 $154,596.66 $59,335.32 2026-07-15
853 MS_DRG Infectious And Parasitic Diseases With O.r. Procedures With Mcc 37 21 $155,122.85 $155,122.85 $40,997.14 $146,621.22 $59,265.41 2026-07-15
228 MS_DRG Other Cardiothoracic Procedures With Mcc 37 21 $148,258.11 $148,258.11 $41,068.02 $180,980.32 $59,052.11 2026-07-15
521 MS_DRG Hip Replacement With Principal Diagnosis Of Hip Fracture With Mcc 37 21 $145,472.03 $145,472.03 $24,336.53 $93,657.19 $58,996.86 2026-07-15
462 MS_DRG Bilateral Or Multiple Major Joint Procedures Of Lower Extremity Without Mcc 37 21 $158,558.53 $158,558.53 $22,643.39 $95,108.55 $58,875.97 2026-07-15
J9269 HCPCS Tagraxofusp-erzs 1,000 Mcg/ml Intravenous Solution 132 30 $72,636.30 $72,636.30 $357.02 $83,265.15 $58,061.44 2026-07-15
245 MS_DRG Aicd Generator Procedures 37 21 $74,226.58 $74,226.58 $37,966.93 $125,461.89 $57,908.58 2026-07-15
J0567 HCPCS Cerliponase Alfa 300 Mg/10 Ml(150 Mg/5ml X2) Intraventricular Kit 114 26 $77,135.60 $77,135.60 $121.20 $69,427.89 $57,851.71 2026-07-15
252 MS_DRG Other Vascular Procedures With Mcc 37 21 $178,156.21 $178,156.21 $29,315.24 $86,272.04 $57,793.64 2026-07-15
J9029 HCPCS Hc Nadofaragene Firadenovec-vncg, Instill, 75 Ml 174 30 $32,852.75 $32,852.75 $15,900.00 $161,923.29 $57,600.00 2026-07-15
94 MS_DRG Bacterial And Tuberculous Infections Of Nervous System With Mcc 33 19 $99,491.57 $99,491.57 $43,237.10 $91,253.99 $57,318.84 2026-07-15
288 MS_DRG Acute And Subacute Endocarditis With Mcc 37 21 $37,378.57 $37,378.57 $23,015.53 $90,244.19 $56,629.86 2026-07-15
826 MS_DRG Myeloproliferative Disorders Or Poorly Differentiated Neoplasms With Major O.r. … 37 21 $224,924.37 $224,924.37 $38,896.45 $154,024.70 $56,589.68 2026-07-15
799 MS_DRG Splenic Procedures With Mcc 37 21 $156,580.05 $156,580.05 $37,697.09 $129,058.21 $56,344.38 2026-07-15
981 MS_DRG Extensive O.r. Procedures Unrelated To Principal Diagnosis With Mcc 37 21 $142,415.70 $142,415.70 $39,009.23 $123,604.14 $56,333.72 2026-07-15
267 MS_DRG Endovascular Cardiac Valve Replacement And Supplement Procedures Without Mcc 37 21 $107,942.29 $107,942.29 $39,565.01 $177,582.60 $55,750.70 2026-07-15
823 MS_DRG Lymphoma And Non-acute Leukemia With Other Procedures With Mcc 37 21 $168,293.20 $168,293.20 $38,147.34 $140,589.67 $55,452.08 2026-07-15
37 MS_DRG Extracranial Procedures With Mcc 37 21 $162,889.94 $162,889.94 $27,734.86 $83,055.71 $55,395.29 2026-07-15
26 MS_DRG Craniotomy And Endovascular Intracranial Procedures With Cc 37 21 $173,592.27 $173,592.27 $26,261.64 $100,407.75 $55,342.56 2026-07-15
277 MS_DRG Cardiac Defibrillator Implant Without Mcc 37 21 $125,275.96 $125,275.96 $38,418.80 $146,126.23 $55,125.02 2026-07-15
163 MS_DRG Major Chest Procedures With Mcc 37 21 $204,465.49 $204,465.49 $37,317.70 $164,422.57 $54,619.02 2026-07-15
221 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures Without Cardiac Catheter… 37 21 $211,474.89 $211,474.89 $41,815.51 $139,061.92 $54,422.31 2026-07-15
329 MS_DRG Major Small And Large Bowel Procedures With Mcc 37 21 $208,865.68 $208,865.68 $38,241.60 $143,269.34 $54,414.02 2026-07-15
856 MS_DRG Postoperative Or Post-traumatic Infections With O.r. Procedures With Mcc 37 21 $128,449.70 $128,449.70 $37,856.57 $137,521.94 $53,462.46 2026-07-15
474 MS_DRG Amputation For Musculoskeletal System And Connective Tissue Disorders With Mcc 37 21 $149,527.03 $149,527.03 $35,796.14 $135,138.65 $53,143.70 2026-07-15
901 MS_DRG Wound Debridements For Injuries With Mcc 37 21 $152,484.11 $152,484.11 $35,020.46 $190,547.09 $52,501.43 2026-07-15
654 MS_DRG Major Bladder Procedures With Cc 37 21 $183,388.26 $183,388.26 $23,765.45 $91,644.86 $51,614.92 2026-07-15
406 MS_DRG Pancreas, Liver And Shunt Procedures With Cc 37 21 $188,571.68 $188,571.68 $24,578.18 $190,423.31 $51,298.66 2026-07-15
356 MS_DRG Other Digestive System O.r. Procedures With Mcc 37 21 $189,217.51 $189,217.51 $36,600.83 $106,685.16 $50,548.55 2026-07-15
323 MS_DRG Coronary Intravascular Lithotripsy With Intraluminal Device With Mcc 37 21 $171,929.04 $171,929.04 $36,074.04 $126,497.70 $50,473.89 2026-07-15
140 MS_DRG Major Head And Neck Procedures With Mcc 37 21 $40,380.74 $40,380.74 $35,573.83 $105,772.29 $50,116.02 2026-07-15
790 MS_DRG Extreme Immaturity Or Respiratory Distress Syndrome, Neonate 21 14 $317,077.04 $317,077.04 $49,091.46 $168,817.50 $50,073.29 2026-07-15
J9359 HCPCS Loncastuximab Tesirine-lpyl 10 Mg Intravenous Solution 132 30 $62,473.51 $62,473.51 $221.22 $70,530.30 $49,931.21 2026-07-15
31 MS_DRG Ventricular Shunt Procedures With Mcc 37 21 $124,007.49 $124,007.49 $37,307.24 $104,806.91 $49,658.61 2026-07-15
673 MS_DRG Other Kidney And Urinary Tract Procedures With Mcc 37 21 $144,046.79 $144,046.79 $35,060.74 $104,781.90 $49,646.76 2026-07-15
93654 CPT Comprehensive Electrophysiologic Evaluation With Catheter Destruction Of Abnorma… 79 30 $62,005.00 $62,005.00 $28,222.91 $71,960.82 $49,604.00 2026-07-15
93656 CPT Comprehensive Electrophysiologic Evaluation With Catheter Destruction Of Abnorma… 79 30 $62,005.00 $62,005.00 $28,222.91 $90,516.76 $49,604.00 2026-07-15
93653 CPT Comprehensive Electrophysiologic Evaluation With Catheter Destruction Of Abnorma… 79 30 $62,005.00 $62,005.00 $28,222.91 $90,516.76 $49,604.00 2026-07-15
269 MS_DRG Aortic And Heart Assist Procedures Except Pulsation Balloon Without Mcc 37 21 $137,666.94 $137,666.94 $35,234.72 $126,888.80 $49,304.30 2026-07-15
164 MS_DRG Major Chest Procedures With Cc 37 21 $181,962.23 $181,962.23 $21,547.96 $189,680.39 $48,782.87 2026-07-15
472 MS_DRG Cervical Spinal Fusion With Cc 37 21 $174,449.50 $174,449.50 $24,947.89 $72,458.97 $48,703.43 2026-07-15
958 MS_DRG Other O.r. Procedures For Multiple Significant Trauma With Cc 37 21 $114,687.01 $114,687.01 $35,159.81 $100,119.57 $48,701.13 2026-07-15
12 MS_DRG Tracheostomy For Face, Mouth And Neck Diagnoses Or Laryngectomy With Cc 37 21 $122,599.09 $122,599.09 $35,176.73 $102,633.54 $48,628.85 2026-07-15
510 MS_DRG Shoulder, Elbow Or Forearm Procedures, Except Major Joint Procedures With Mcc 37 21 $166,351.46 $166,351.46 $25,547.18 $71,481.08 $48,514.13 2026-07-15
800 MS_DRG Splenic Procedures With Cc 37 21 $151,626.45 $151,626.45 $23,846.81 $72,874.14 $48,360.47 2026-07-15
423 MS_DRG Other Hepatobiliary Or Pancreas O.r. Procedures With Mcc 37 21 $191,084.12 $191,084.12 $34,669.28 $156,481.32 $48,198.69 2026-07-15
907 MS_DRG Other O.r. Procedures For Injuries With Mcc 37 21 $130,517.64 $130,517.64 $32,142.47 $99,632.34 $47,206.85 2026-07-15
739 MS_DRG Uterine And Adnexa Procedures For Non-ovarian And Non-adnexal Malignancy With Mc… 37 21 $103,308.86 $103,308.86 $30,076.40 $99,562.31 $47,173.67 2026-07-15
253 MS_DRG Other Vascular Procedures With Cc 37 21 $137,216.82 $137,216.82 $22,124.69 $71,358.15 $46,741.42 2026-07-15
876 MS_DRG O.r. Procedures With Principal Diagnosis Of Mental Illness 31 17 $97,645.63 $97,645.63 $32,348.67 $85,272.32 $46,565.76 2026-07-15
263 MS_DRG Vein Ligation And Stripping 37 21 $145,914.99 $145,914.99 $25,844.40 $67,079.32 $46,461.86 2026-07-15
273 MS_DRG Percutaneous And Other Intracardiac Procedures With Mcc 37 21 $89,550.55 $89,550.55 $34,447.77 $97,796.60 $46,337.06 2026-07-15
34 MS_DRG Carotid Artery Stent Procedures With Mcc 37 21 $155,044.27 $155,044.27 $32,395.40 $112,375.18 $46,081.10 2026-07-15
616 MS_DRG Amputation Of Lower Limb For Endocrine, Nutritional And Metabolic Disorders With… 37 21 $118,243.88 $118,243.88 $29,307.97 $106,407.79 $45,800.25 2026-07-15
904 MS_DRG Skin Grafts For Injuries With Cc/mcc 37 21 $103,208.89 $103,208.89 $30,803.77 $96,566.11 $45,754.04 2026-07-15
166 MS_DRG Other Respiratory System O.r. Procedures With Mcc 37 21 $123,224.15 $123,224.15 $31,324.10 $129,666.25 $45,626.06 2026-07-15
956 MS_DRG Limb Reattachment, Hip And Femur Procedures For Multiple Significant Trauma 37 21 $109,996.54 $109,996.54 $31,527.89 $123,646.92 $45,295.44 2026-07-15
483 MS_DRG Major Joint Or Limb Reattachment Procedures Of Upper Extremities 37 21 $148,538.24 $148,538.24 $23,544.74 $111,995.91 $45,069.68 2026-07-15
24 MS_DRG Craniotomy With Major Device Implant Or Acute Complex Cns Principal Diagnosis Wi… 37 21 $150,720.60 $150,720.60 $32,727.25 $107,052.50 $45,050.15 2026-07-15
J9348 HCPCS Naxitamab-gqgk 4 Mg/ml Intravenous Solution 106 24 $56,101.19 $56,101.19 $36,427.10 $62,135.34 $44,928.55 2026-07-15
C1831 HCPCS Hc Aprevo Kit Implant Level 1 Patient Specific 216 20 $54,600.00 $54,600.00 $16,224.00 $70,200.00 $44,538.00 2026-07-15
827 MS_DRG Myeloproliferative Disorders Or Poorly Differentiated Neoplasms With Major O.r. … 37 21 $160,945.87 $160,945.87 $19,833.89 $69,234.57 $44,534.23 2026-07-15
327 MS_DRG Stomach, Esophageal And Duodenal Procedures With Cc 37 21 $129,085.26 $129,085.26 $20,905.18 $79,117.75 $44,344.19 2026-07-15
622 MS_DRG Skin Grafts And Wound Debridement For Endocrine, Nutritional And Metabolic Disor… 37 21 $129,199.58 $129,199.58 $29,886.31 $168,416.10 $44,342.70 2026-07-15
498 MS_DRG Local Excision And Removal Of Internal Fixation Devices Of Hip And Femur With Cc… 37 21 $120,891.90 $120,891.90 $25,517.37 $63,147.75 $44,332.56 2026-07-15
473 MS_DRG Cervical Spinal Fusion Without Cc/mcc 37 21 $148,334.55 $148,334.55 $20,881.82 $80,012.08 $43,826.83 2026-07-15
493 MS_DRG Lower Extremity And Humerus Procedures Except Hip, Foot And Femur With Cc 37 21 $117,259.54 $117,259.54 $21,645.41 $64,837.71 $43,241.56 2026-07-15
C1826 HCPCS Hc Stimulator Spinal Cord Inceptiv 36 20 $54,011.00 $54,011.00 $35,107.15 $48,609.90 $43,208.80 2026-07-15
40 MS_DRG Peripheral, Cranial Nerve And Other Nervous System Procedures With Mcc 19 13 $220,271.57 $220,271.57 $42,265.93 $94,340.22 $43,111.25 2026-07-15
409 MS_DRG Biliary Tract Procedures Except Only Cholecystectomy With Or Without C.d.e. With… 37 21 $126,420.06 $126,420.06 $18,755.33 $67,398.22 $43,076.78 2026-07-15
335 MS_DRG Peritoneal Adhesiolysis With Mcc 37 21 $156,669.11 $156,669.11 $29,980.54 $135,022.55 $42,937.29 2026-07-15
27 MS_DRG Craniotomy And Endovascular Intracranial Procedures Without Cc/mcc 37 21 $139,869.68 $139,869.68 $21,539.08 $121,669.48 $42,710.21 2026-07-15
522 MS_DRG Hip Replacement With Principal Diagnosis Of Hip Fracture Without Mcc 37 21 $129,610.16 $129,610.16 $18,275.27 $67,046.84 $42,661.06 2026-07-15
802 MS_DRG Other O.r. Procedures Of The Blood And Blood Forming Organs With Mcc 37 21 $117,450.07 $117,450.07 $33,308.81 $137,854.99 $42,479.88 2026-07-15
97 MS_DRG Non-bacterial Infection Of Nervous System Except Viral Meningitis With Mcc 37 21 $81,730.90 $81,730.90 $30,310.00 $89,650.85 $42,477.51 2026-07-15
518 MS_DRG Back And Neck Procedures Except Spinal Fusion With Mcc Or Disc Device Or Neurost… 37 21 $119,873.82 $119,873.82 $31,320.87 $89,635.84 $42,470.40 2026-07-15
492 MS_DRG Lower Extremity And Humerus Procedures Except Hip, Foot And Femur With Mcc 37 21 $155,503.85 $155,503.85 $30,791.68 $89,385.60 $42,081.72 2026-07-15
J9229 HCPCS Inotuzumab Ozogamicin 0.9 Mg(0.25 Mg/ml Initial Concentration) IV Soln 132 30 $52,507.19 $52,507.19 $2,816.77 $60,102.61 $41,958.15 2026-07-15
22 MS_DRG Intracranial Vascular Procedures With Principal Diagnosis Hemorrhage Without Cc/… 37 21 $136,472.35 $136,472.35 $26,810.99 $144,277.65 $41,835.24 2026-07-15
495 MS_DRG Local Excision And Removal Of Internal Fixation Devices Except Hip And Femur Wit… 37 21 $63,117.91 $63,117.91 $30,421.96 $88,050.21 $41,719.11 2026-07-15
414 MS_DRG Cholecystectomy Except By Laparoscope Without C.d.e. With Mcc 37 21 $136,465.84 $136,465.84 $29,913.71 $101,277.60 $41,520.03 2026-07-15
987 MS_DRG Non-extensive O.r. Procedures Unrelated To Principal Diagnosis With Mcc 37 21 $123,628.14 $123,628.14 $28,832.75 $87,602.53 $41,507.00 2026-07-15
408 MS_DRG Biliary Tract Procedures Except Only Cholecystectomy With Or Without C.d.e. With… 37 21 $118,924.22 $118,924.22 $29,937.87 $105,313.92 $41,490.41 2026-07-15
264 MS_DRG Other Circulatory System O.r. Procedures 37 21 $116,550.78 $116,550.78 $28,125.51 $88,071.73 $41,416.94 2026-07-15
475 MS_DRG Amputation For Musculoskeletal System And Connective Tissue Disorders With Cc 37 21 $109,035.59 $109,035.59 $19,547.93 $62,723.30 $41,135.61 2026-07-15
332 MS_DRG Rectal Resection With Mcc 37 21 $119,938.43 $119,938.43 $30,381.68 $117,450.36 $41,104.10 2026-07-15
574 MS_DRG Skin Graft For Skin Ulcer Or Cellulitis With Cc 37 21 $116,638.39 $116,638.39 $29,179.10 $88,218.40 $41,059.07 2026-07-15
412 MS_DRG Cholecystectomy With C.d.e. With Cc 37 21 $118,252.43 $118,252.43 $18,152.84 $63,951.62 $41,052.23 2026-07-15
271 MS_DRG Other Major Cardiovascular Procedures With Cc 37 21 $143,480.45 $143,480.45 $29,862.96 $89,733.92 $40,816.14 2026-07-15
477 MS_DRG Biopsies Of Musculoskeletal System And Connective Tissue With Mcc 37 21 $108,060.38 $108,060.38 $29,043.76 $93,437.19 $40,752.15 2026-07-15
665 MS_DRG Prostatectomy With Mcc 37 21 $90,874.99 $90,874.99 $26,358.29 $93,476.91 $40,688.16 2026-07-15
417 MS_DRG Laparoscopic Cholecystectomy Without C.d.e. With Mcc 37 21 $119,435.67 $119,435.67 $20,439.61 $60,703.62 $40,571.61 2026-07-15
260 MS_DRG Cardiac Pacemaker Revision Except Device Replacement With Mcc 37 21 $107,378.78 $107,378.78 $27,418.31 $91,964.44 $40,363.47 2026-07-15
242 MS_DRG Permanent Cardiac Pacemaker Implant With Mcc 37 21 $117,849.62 $117,849.62 $26,935.01 $91,551.95 $40,195.20 2026-07-15
29 MS_DRG Spinal Procedures With Cc Or Spinal Neurostimulators 37 21 $157,036.95 $157,036.95 $28,697.41 $83,951.07 $39,776.90 2026-07-15
143 MS_DRG Other Ear, Nose, Mouth And Throat O.r. Procedures With Mcc 37 21 $134,090.30 $134,090.30 $31,395.80 $90,455.02 $39,127.52 2026-07-15
165 MS_DRG Major Chest Procedures Without Cc/mcc 37 21 $151,687.91 $151,687.91 $16,636.12 $255,011.26 $39,102.22 2026-07-15
469 MS_DRG Major Hip And Knee Joint Replacement Or Reattachment Of Lower Extremity With Mcc… 37 21 $143,111.12 $143,111.12 $25,649.46 $81,750.19 $38,734.10 2026-07-15
579 MS_DRG Other Skin, Subcutaneous Tissue And Breast Procedures With Mcc 37 21 $99,504.39 $99,504.39 $27,303.14 $86,763.98 $38,623.89 2026-07-15
336 MS_DRG Peritoneal Adhesiolysis With Cc 37 21 $107,612.92 $107,612.92 $18,202.78 $58,815.32 $38,509.05 2026-07-15
C1736 HCPCS Hc Ultrasound Paradise Rdn Price Per Procedure 49 26 $48,128.00 $48,128.00 $31,283.20 $43,315.20 $38,502.40 2026-07-15
584 MS_DRG Breast Biopsy, Local Excision And Other Breast Procedures With Cc/mcc 37 21 $102,040.44 $102,040.44 $18,460.52 $58,066.72 $38,263.62 2026-07-15
485 MS_DRG Knee Procedures With Principal Diagnosis Of Infection With Mcc 37 21 $138,430.61 $138,430.61 $27,211.30 $83,228.76 $38,148.71 2026-07-15
357 MS_DRG Other Digestive System O.r. Procedures With Cc 37 21 $111,716.93 $111,716.93 $19,949.07 $81,579.80 $38,135.79 2026-07-15
S2102 HCPCS Hc Process Auto Islet Transcon 50 24 $47,580.00 $47,580.00 $30,927.00 $42,822.00 $38,064.00 2026-07-15
167 MS_DRG Other Respiratory System O.r. Procedures With Cc 37 21 $102,537.96 $102,537.96 $15,743.64 $60,376.68 $38,060.16 2026-07-15
324 MS_DRG Coronary Intravascular Lithotripsy With Intraluminal Device Without Mcc 37 21 $133,529.95 $133,529.95 $26,598.33 $90,705.57 $37,861.94 2026-07-15
41 MS_DRG Peripheral, Cranial Nerve And Other Nervous System Procedures With Cc Or Periphe… 37 21 $118,439.12 $118,439.12 $18,434.79 $56,477.58 $37,702.65 2026-07-15
843 MS_DRG Other Myeloproliferative Disorders Or Poorly Differentiated Neoplastic Diagnoses… 37 21 $104,197.97 $104,197.97 $17,285.33 $58,054.50 $37,669.92 2026-07-15
500 MS_DRG Soft Tissue Procedures With Mcc 37 21 $121,918.04 $121,918.04 $26,709.48 $95,817.42 $37,549.10 2026-07-15
516 MS_DRG Other Musculoskeletal System And Connective Tissue O.r. Procedures With Cc 37 21 $105,901.04 $105,901.04 $17,956.29 $57,925.21 $37,174.30 2026-07-15
274 MS_DRG Percutaneous And Other Intracardiac Procedures Without Mcc 37 21 $68,759.72 $68,759.72 $27,731.64 $78,056.21 $36,983.85 2026-07-15
662 MS_DRG Minor Bladder Procedures With Mcc 37 21 $104,172.55 $104,172.55 $25,877.42 $95,349.93 $36,967.26 2026-07-15
481 MS_DRG Hip And Femur Procedures Except Major Joint With Cc 37 21 $99,919.12 $99,919.12 $18,088.40 $57,277.94 $36,902.72 2026-07-15
229 MS_DRG Other Cardiothoracic Procedures Without Mcc 37 21 $129,212.61 $129,212.61 $26,586.24 $122,198.61 $36,809.66 2026-07-15
515 MS_DRG Other Musculoskeletal System And Connective Tissue O.r. Procedures With Mcc 37 21 $106,099.10 $106,099.10 $26,887.50 $98,075.44 $36,644.94 2026-07-15
829 MS_DRG Myeloproliferative Disorders Or Poorly Differentiated Neoplasms With Other Proce… 37 21 $85,516.49 $85,516.49 $26,670.82 $101,616.76 $36,543.03 2026-07-15
90288 HCPCS Botulism Immune Globulin, Human 100 Mg Intravenous Solution 52 24 $45,300.00 $45,300.00 $27.17 $40,770.00 $36,240.00 2026-07-15
J2350 HCPCS Ocrelizumab 30 Mg/ml Intravenous Solution 136 30 $46,713.73 $46,713.73 $59.32 $46,091.25 $36,202.44 2026-07-15
906 MS_DRG Hand Procedures For Injuries 37 21 $108,199.69 $108,199.69 $17,039.66 $54,584.33 $35,812.00 2026-07-15
570 MS_DRG Skin Debridement With Mcc 37 21 $101,507.99 $101,507.99 $24,907.63 $125,568.83 $35,670.87 2026-07-15
322 MS_DRG Percutaneous Cardiovascular Procedures With Intraluminal Device Without Mcc 37 21 $96,600.77 $96,600.77 $15,418.23 $55,713.99 $35,566.11 2026-07-15
717 MS_DRG Other Male Reproductive System O.r. Procedures Except Malignancy With Cc/mcc 37 21 $94,649.84 $94,649.84 $16,445.21 $54,644.56 $35,544.89 2026-07-15
974 MS_DRG HIV With Major Related Condition With Mcc 37 21 $93,682.48 $93,682.48 $24,463.80 $88,285.62 $35,386.47 2026-07-15
783 MS_DRG Cesarean Section With Sterilization With Mcc 37 21 $67,306.58 $67,306.58 $20,992.97 $45,672.00 $35,360.00 2026-07-15
C1823 HCPCS Hc Generator Pulse Imp Remede 30 16 $42,900.00 $42,900.00 $27,885.00 $38,610.00 $35,178.00 2026-07-15
77372 CPT Complete Single Session Course Of Cranial Lesion Surgery Using Radiation And A M… 82 30 $53,956.00 $53,956.00 $7,952.83 $48,560.40 $35,071.40 2026-07-15
42 MS_DRG Peripheral, Cranial Nerve And Other Nervous System Procedures Without Cc/mcc 37 21 $108,202.54 $108,202.54 $15,133.89 $54,989.83 $35,061.86 2026-07-15
464 MS_DRG Wound Debridement And Skin Graft Except Hand For Musculoskeletal And Connective … 37 21 $116,868.89 $116,868.89 $26,305.94 $80,848.53 $34,940.91 2026-07-15
480 MS_DRG Hip And Femur Procedures Except Major Joint With Mcc 37 21 $123,066.14 $123,066.14 $24,675.63 $79,928.82 $34,850.85 2026-07-15
359 MS_DRG Percutaneous Coronary Atherectomy With Intraluminal Device With Mcc 37 21 $162,129.20 $162,129.20 $28,914.90 $40,747.41 $34,831.15 2026-07-15
655 MS_DRG Major Bladder Procedures Without Cc/mcc 37 21 $302,001.61 $302,001.61 $18,266.40 $51,093.26 $34,679.83 2026-07-15
668 MS_DRG Transurethral Procedures With Mcc 37 21 $92,461.43 $92,461.43 $24,737.66 $72,936.66 $34,558.16 2026-07-15
240 MS_DRG Amputation For Circulatory System Disorders Except Upper Limb And Toe With Cc 37 21 $115,137.13 $115,137.13 $24,177.84 $86,443.15 $34,509.57 2026-07-15
144 MS_DRG Other Ear, Nose, Mouth And Throat O.r. Procedures With Cc 37 21 $86,271.39 $86,271.39 $15,175.78 $53,559.86 $34,367.82 2026-07-15
415 MS_DRG Cholecystectomy Except By Laparoscope Without C.d.e. With Cc 37 21 $106,024.77 $106,024.77 $17,864.47 $50,207.98 $34,036.22 2026-07-15
J9309 HCPCS Polatuzumab Vedotin-piiq 140 Mg Intravenous Solution 132 30 $42,471.90 $42,471.90 $136.77 $46,395.72 $33,932.32 2026-07-15
325 MS_DRG Coronary Intravascular Lithotripsy Without Intraluminal Device 37 21 $109,724.29 $109,724.29 $27,076.78 $80,796.59 $33,915.89 2026-07-15
321 MS_DRG Percutaneous Cardiovascular Procedures With Intraluminal Device With Mcc Or 4+ A… 37 21 $122,187.43 $122,187.43 $23,133.14 $87,836.46 $33,734.58 2026-07-15
511 MS_DRG Shoulder, Elbow Or Forearm Procedures, Except Major Joint Procedures With Cc 37 21 $116,194.10 $116,194.10 $17,966.78 $49,049.61 $33,508.19 2026-07-15
939 MS_DRG O.r. Procedures With Diagnoses Of Other Contact With Health Services With Mcc 25 17 $12,885.53 $12,885.53 $30,444.52 $54,913.13 $33,488.97 2026-07-15
620 MS_DRG O.r. Procedures For Obesity With Cc 37 21 $73,785.22 $73,785.22 $14,107.69 $52,814.32 $33,461.00 2026-07-15
507 MS_DRG Major Shoulder Or Elbow Joint Procedures With Cc/mcc 37 21 $99,736.83 $99,736.83 $15,767.79 $50,987.13 $33,377.46 2026-07-15
258 MS_DRG Cardiac Pacemaker Device Replacement With Mcc 37 21 $132,741.17 $132,741.17 $26,526.63 $70,165.56 $33,245.18 2026-07-15
707 MS_DRG Major Male Pelvic Procedures With Cc/mcc 37 21 $328,830.40 $328,830.40 $17,329.64 $48,471.89 $32,900.76 2026-07-15
69930 CPT Insertion Of Cochlear Device 207 30 $21,891.00 $21,891.00 $13,486.50 $203,210.90 $32,367.60 2026-07-15
619 MS_DRG O.r. Procedures For Obesity With Mcc 37 21 $71,570.12 $71,570.12 $24,475.07 $96,205.47 $32,309.03 2026-07-15
963 MS_DRG Other Multiple Significant Trauma With Mcc 37 21 $70,327.51 $70,327.51 $23,237.85 $74,273.09 $32,192.90 2026-07-15
61 MS_DRG Ischemic Stroke, Precerebral Occlusion Or Transient Ischemia With Thrombolytic A… 37 21 $125,763.17 $125,763.17 $23,425.52 $73,267.83 $32,035.29 2026-07-15
344 MS_DRG Minor Small And Large Bowel Procedures With Mcc 37 21 $46,020.32 $46,020.32 $22,021.57 $85,165.95 $31,929.83 2026-07-15
62 MS_DRG Ischemic Stroke, Precerebral Occlusion Or Transient Ischemia With Thrombolytic A… 37 21 $91,643.41 $91,643.41 $15,371.51 $48,286.07 $31,828.79 2026-07-15
208 MS_DRG Respiratory System Diagnosis With Ventilator Support <=96 Hours 37 21 $101,777.52 $101,777.52 $23,357.88 $67,121.84 $31,803.03 2026-07-15
849 MS_DRG Radiotherapy 37 21 $118,325.87 $118,325.87 $23,042.11 $66,804.21 $31,652.54 2026-07-15
793 MS_DRG Full Term Neonate With Major Problems 37 21 $15,361.23 $15,361.23 $7,912.47 $38,283.28 $31,646.28 2026-07-15
142 MS_DRG Major Head And Neck Procedures Without Cc/mcc 37 21 $77,791.46 $77,791.46 $14,076.28 $49,199.66 $31,637.97 2026-07-15
577 MS_DRG Skin Graft Except For Skin Ulcer Or Cellulitis With Cc 37 21 $99,998.46 $99,998.46 $22,568.51 $66,596.63 $31,554.18 2026-07-15
67027 CPT Implantation Of Eye Drug Delivery System 81 30 $41,585.00 $41,585.00 $15,066.00 $47,822.18 $31,444.09 2026-07-15
13 MS_DRG Tracheostomy For Face, Mouth And Neck Diagnoses Or Laryngectomy Without Cc/mcc 37 21 $104,263.05 $104,263.05 $24,429.98 $66,276.50 $31,402.50 2026-07-15
503 MS_DRG Foot Procedures With Mcc 37 21 $69,792.59 $69,792.59 $23,699.40 $66,191.47 $31,362.21 2026-07-15
468 MS_DRG Revision Of Hip Or Knee Replacement Without Cc/mcc 37 21 $122,048.64 $122,048.64 $23,352.23 $77,178.87 $31,086.11 2026-07-15
255 MS_DRG Upper Limb And Toe Amputation For Circulatory System Disorders With Mcc 37 21 $116,536.27 $116,536.27 $22,944.65 $77,609.70 $31,005.53 2026-07-15
621 MS_DRG O.r. Procedures For Obesity Without Cc/mcc 37 21 $73,150.88 $73,150.88 $13,367.46 $48,402.18 $30,884.82 2026-07-15
742 MS_DRG Uterine And Adnexa Procedures For Non-malignancy With Cc/mcc 37 21 $106,054.91 $106,054.91 $15,996.56 $49,650.34 $30,841.17 2026-07-15
410 MS_DRG Biliary Tract Procedures Except Only Cholecystectomy With Or Without C.d.e. With… 37 21 $87,857.95 $87,857.95 $14,006.21 $47,546.64 $30,776.42 2026-07-15
251 MS_DRG Percutaneous Cardiovascular Procedures Without Intraluminal Device Without Mcc 37 21 $83,001.26 $83,001.26 $13,255.50 $48,243.29 $30,749.40 2026-07-15
517 MS_DRG Other Musculoskeletal System And Connective Tissue O.r. Procedures Without Cc/mc… 37 21 $117,652.78 $117,652.78 $13,595.42 $82,046.96 $30,674.92 2026-07-15
749 MS_DRG Other Female Reproductive System O.r. Procedures With Cc/mcc 37 21 $108,110.73 $108,110.73 $21,899.14 $79,977.71 $30,674.91 2026-07-15
659 MS_DRG Kidney And Ureter Procedures For Non-neoplasm With Mcc 37 21 $78,782.98 $78,782.98 $21,684.07 $97,941.00 $30,623.96 2026-07-15
675 MS_DRG Other Kidney And Urinary Tract Procedures Without Cc/mcc 37 21 $74,845.08 $74,845.08 $14,438.75 $46,559.71 $30,499.23 2026-07-15
37184 CPT Primary Removal And Dissolving Of Blood Clot From Artery Or Artery Graft Using F… 161 30 $23,450.00 $23,450.00 $15,242.50 $106,258.49 $30,485.00 2026-07-15
789 MS_DRG Neonates, Died Or Transferred To Another Acute Care Facility 37 21 $106,445.79 $106,445.79 $6,060.00 $80,600.00 $30,408.51 2026-07-15
501 MS_DRG Soft Tissue Procedures With Cc 37 21 $96,099.94 $96,099.94 $15,298.20 $45,358.90 $30,328.55 2026-07-15
582 MS_DRG Mastectomy For Malignancy With Cc/mcc 37 21 $101,668.05 $101,668.05 $16,735.98 $43,797.51 $30,266.74 2026-07-15
846 MS_DRG Chemotherapy Without Acute Leukemia As Secondary Diagnosis With Mcc 37 21 $48,347.97 $48,347.97 $22,099.72 $82,180.73 $30,262.53 2026-07-15
33 MS_DRG Ventricular Shunt Procedures Without Cc/mcc 37 21 $79,759.99 $79,759.99 $14,611.93 $45,633.89 $30,122.91 2026-07-15
817 MS_DRG Other Antepartum Diagnoses With O.r. Procedures With Mcc 37 21 $51,869.72 $51,869.72 $19,595.45 $63,800.52 $30,040.94 2026-07-15
545 MS_DRG Connective Tissue Disorders With Mcc 37 21 $62,018.50 $62,018.50 $21,207.24 $81,780.46 $29,943.77 2026-07-15
337 MS_DRG Peritoneal Adhesiolysis Without Cc/mcc 37 21 $84,587.60 $84,587.60 $13,581.72 $45,994.44 $29,788.08 2026-07-15
52 MS_DRG Spinal Disorders And Injuries With Cc/mcc 35 20 $99,803.82 $99,803.82 $26,981.31 $50,332.63 $29,746.62 2026-07-15
56 MS_DRG Degenerative Nervous System Disorders With Mcc 35 20 $69,614.57 $69,614.57 $14,720.04 $62,627.54 $29,673.59 2026-07-15
272 MS_DRG Other Major Cardiovascular Procedures Without Cc/mcc 37 21 $108,095.77 $108,095.77 $21,781.54 $65,393.81 $29,651.07 2026-07-15
328 MS_DRG Stomach, Esophageal And Duodenal Procedures Without Cc/mcc 37 21 $92,073.10 $92,073.10 $14,123.81 $44,952.52 $29,538.17 2026-07-15
397 MS_DRG Appendix Procedures With Mcc 37 21 $87,921.93 $87,921.93 $20,508.07 $68,644.86 $29,361.93 2026-07-15
663 MS_DRG Minor Bladder Procedures With Cc 37 21 $99,331.35 $99,331.35 $13,462.52 $51,060.86 $29,256.40 2026-07-15
983 MS_DRG Extensive O.r. Procedures Unrelated To Principal Diagnosis Without Cc/mcc 37 21 $84,261.33 $84,261.33 $21,539.08 $63,881.34 $29,243.43 2026-07-15
241 MS_DRG Amputation For Circulatory System Disorders Except Upper Limb And Toe Without Cc… 37 21 $94,886.28 $94,886.28 $12,368.66 $45,847.78 $29,108.22 2026-07-15
470 MS_DRG Major Hip And Knee Joint Replacement Or Reattachment Of Lower Extremity Without … 37 21 $115,024.43 $115,024.43 $16,754.52 $106,293.64 $29,082.26 2026-07-15
982 MS_DRG Extensive O.r. Procedures Unrelated To Principal Diagnosis With Cc 37 21 $101,908.29 $101,908.29 $21,020.36 $67,086.56 $29,012.36 2026-07-15
350 MS_DRG Inguinal And Femoral Hernia Procedures With Mcc 37 21 $104,536.28 $104,536.28 $21,289.40 $61,751.66 $28,661.60 2026-07-15
354 MS_DRG Hernia Procedures Except Inguinal And Femoral With Cc 37 21 $96,297.46 $96,297.46 $14,769.00 $42,544.51 $28,656.76 2026-07-15
360 MS_DRG Percutaneous Coronary Atherectomy With Intraluminal Device Without Mcc 37 21 $102,206.42 $102,206.42 $20,664.34 $52,390.31 $28,609.46 2026-07-15
73 MS_DRG Cranial And Peripheral Nerve Disorders With Mcc 35 20 $37,198.60 $37,198.60 $18,315.36 $38,655.46 $28,575.30 2026-07-15
135 MS_DRG Sinus And Mastoid Procedures With Cc/mcc 37 21 $87,417.52 $87,417.52 $18,696.54 $60,301.61 $28,571.54 2026-07-15
746 MS_DRG Vagina, Cervix And Vulva Procedures With Cc/mcc 37 21 $100,837.48 $100,837.48 $15,209.60 $41,881.75 $28,545.67 2026-07-15
19357 CPT Reconstruction Of Breast Using Tissue Expander 161 30 $21,907.00 $21,907.00 $14,239.55 $106,784.46 $28,479.10 2026-07-15
95 MS_DRG Bacterial And Tuberculous Infections Of Nervous System With Cc 35 20 $82,261.07 $82,261.07 $22,677.07 $59,953.97 $28,406.82 2026-07-15
96 MS_DRG Bacterial And Tuberculous Infections Of Nervous System Without Cc/mcc 37 21 $74,219.14 $74,219.14 $21,992.57 $59,953.97 $28,406.82 2026-07-15
571 MS_DRG Skin Debridement With Cc 37 21 $99,183.91 $99,183.91 $14,826.19 $41,874.24 $28,350.22 2026-07-15
487 MS_DRG Knee Procedures With Principal Diagnosis Of Infection Without Cc/mcc 37 21 $82,077.32 $82,077.32 $13,833.02 $42,789.22 $28,311.12 2026-07-15
J9334 HCPCS Efgartigimod Alfa 1008 Mg-hyaluron-qvfc 11,200 Unit/5.6 Ml Subcut Soln 132 30 $35,288.50 $35,288.50 $34.12 $42,578.68 $28,225.60 2026-07-15
660 MS_DRG Kidney And Ureter Procedures For Non-neoplasm With Cc 37 21 $67,557.34 $67,557.34 $11,863.63 $44,573.63 $28,218.63 2026-07-15
578 MS_DRG Skin Graft Except For Skin Ulcer Or Cellulitis Without Cc/mcc 37 21 $83,034.14 $83,034.14 $14,156.82 $42,276.90 $28,216.86 2026-07-15
347 MS_DRG Anal And Stomal Procedures With Mcc 37 21 $111,938.99 $111,938.99 $19,708.22 $64,012.73 $28,046.58 2026-07-15
92941 CPT Insertion Of Stent, Removal Of Plaque And/or Balloon Dilation Of Coronary Vessel… 59 26 $35,025.00 $35,025.00 $532.20 $36,216.00 $28,020.00 2026-07-15
618 MS_DRG Amputation Of Lower Limb For Endocrine, Nutritional And Metabolic Disorders With… 37 21 $61,729.81 $61,729.81 $12,641.71 $43,360.60 $28,001.15 2026-07-15
38 MS_DRG Extracranial Procedures With Cc 37 21 $93,986.45 $93,986.45 $14,287.33 $41,200.36 $27,743.85 2026-07-15
478 MS_DRG Biopsies Of Musculoskeletal System And Connective Tissue With Cc 37 21 $82,644.57 $82,644.57 $21,025.99 $64,342.72 $27,712.41 2026-07-15
82 MS_DRG Traumatic Stupor And Coma >1 Hour With Mcc 37 21 $55,696.32 $55,696.32 $19,627.66 $58,028.20 $27,494.37 2026-07-15
320 MS_DRG Other Endovascular Cardiac Valve Procedures Without Mcc 37 21 $40,621.13 $40,621.13 $20,591.84 $71,733.97 $27,430.38 2026-07-15
250 MS_DRG Percutaneous Cardiovascular Procedures Without Intraluminal Device With Mcc 37 21 $91,176.46 $91,176.46 $18,797.22 $66,447.96 $27,404.31 2026-07-15
674 MS_DRG Other Kidney And Urinary Tract Procedures With Cc 37 21 $106,416.61 $106,416.61 $20,054.58 $73,243.39 $27,354.54 2026-07-15
Q4226 HCPCS Hc Graft Skin 10x10cm Autologous 60 16 $39,000.00 $39,000.00 $10,140.00 $56,160.00 $27,300.00 2026-07-15
905 MS_DRG Skin Grafts For Injuries Without Cc/mcc 37 21 $94,081.58 $94,081.58 $13,166.10 $41,221.48 $27,193.79 2026-07-15
146 MS_DRG Ear, Nose, Mouth And Throat Malignancy With Mcc 37 21 $69,857.97 $69,857.97 $18,272.84 $57,375.44 $27,185.09 2026-07-15
482 MS_DRG Hip And Femur Procedures Except Major Joint Without Cc/mcc 37 21 $81,908.18 $81,908.18 $14,354.98 $40,112.80 $27,177.26 2026-07-15
See an error in this hospital's data? Submit a correction